M JUSTIN MOORE (NPI# 1477664712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477664712 |
| Entity Type | Individual |
| Full Name | M JUSTIN MOORE |
| Credential | DMD MS |
| Practice Address |
112 N Binkley St Soldotna AK 99669 |
| Practice Telephone | 9072629425 |
| Practice Fax Number | 9072626604 |
| Mailing Telephone | 9072629425 |
| Mailing Fax Number | 9072626604 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
AA618 | AK | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | AK618 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679683189 | M Susan Moore | Social Worker | 2200 Fort Roots Dr # 116/nlr, North Little Rock, AR 72114-1709 | 2006-08-30 |
| 1801894662 | M Kent Moore | Ophthalmology | 564 W 9th Pl, Ste 3, Mesa, AZ 85201-4069 | 2005-07-14 |
| 1942205083 | M Stephanie Moore | Registered Nurse | 301 Med Tech Pkwy, Ste. 200, Johnson City, TN 37604-2364 | 2005-06-16 |
| Street Address |
112 N BINKLEY ST |
| City | SOLDOTNA |
| State | AK |
| Zip Code | 99669 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201226 | Kyle Arron Shassetz | Counselor | 43335 K-beach Rd., Soldotna, AK 99669 | 2020-09-29 |
| 1720614993 | Peninsula Instacare | Clinic/Center | 34581 Kenai Spur Hwy, Suite 1, Soldotna, AK 99669 | 2020-03-19 |
| 1871141077 | Alaine Viola Lagasse | Counselor | Kenai Vet Center, 43299 Kalifornsky Beach Road Ste 4, Soldotna, AK 99669 | 2019-08-30 |
| 1962970574 | Ryder R Storm | Behavior Technician | 338800 Community College Drive, Suite 1, Soldotna, AK 99669 | 2018-11-13 |
| 1356821540 | Tanecia Webster | Nurse Practitioner | 36570 Kenai Spur Hwy, Ste 103a, Soldotna, AK 99669 | 2018-08-16 |
| 1821519869 | Theresa Napolitano | Case Manager/Care Coordinator | 35477 Kenai Spur Hwy Suite 203, Soldotna, AK 99669 | 2017-06-29 |
| 1689048282 | Jeanne Bignell | Licensed Practical Nurse | 35020 Alaskan View Lane, Soldotna, AK 99669 | 2015-11-19 |
| 1952786105 | Ian Charles Mcmullen | Pharmacist | 44001 Sterling Highway, Soldotna, AK 99669 | 2015-07-29 |
| 1841679933 | Lana Clymer | Case Manager/Care Coordinator | 22994 Kalifornsky Beach Rd, Soldotna, AK 99669 | 2015-05-22 |
| 1861800773 | Phillip Bruce | Physical Therapy Assistant | 35105 Kenai Spury Hwy, Suite A, Soldotna, AK 99669 | 2014-07-24 |
| Find all providers in zip 99669 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366059438 | Shannon Candid Alaska, P.C. | Dentist | 721 Depot Dr, Anchorage, AK 99501-1615 | 2020-09-23 |
| 1275907818 | David C Hobson Dds Ms PC | Dentist | 114 Minnie St Ste B, Fairbanks, AK 99701-3000 | 2015-11-19 |
| 1518187210 | Jack B Duclos | Dentist | 1836 W Northern Lights Blvd, Anchorage, AK 99517-3342 | 2007-04-26 |
| 1679697924 | Ronald I Glaeser | Dentist | 3708 Rhone Cir, Anchorage, AK 99508-5051 | 2007-03-19 |
| 1194864025 | Richard L. Day | Dentist | 10998 O'malley Centre Dr., Suite A, Anchorage, AK 99515 | 2007-02-06 |
| 1386792463 | Todd Zane Wentz | Dentist | 701 University Ave, Fairbanks, AK 99709-3646 | 2007-01-08 |
| 1548321995 | Jeffrey W Symonds | Dentist | 1000 Omalley Road, Suite 105, Anchorage, AK 99515 | 2006-12-12 |
| 1902815798 | Michael Leo Koropp | Dentist | 2700 W Dimond Blvd, Anchorage, AK 99502-1603 | 2006-08-08 |
| 1164441119 | Valley Orthodontics LLC | Dentist | 1001 Usa Cir, Wasilla, AK 99654-7198 | 2006-07-19 |
| 1750728747 | James R. Arneson, Dds,inc | Dentist | 506 W Marine Way, Kodiak, AK 99615-7318 | 2013-05-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.